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Community Innovations Inc — NPI 1841375102, Orrum, NC | NPI Central

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NPI 1841375102

OrganizationActive

Community Innovations Inc

NPI 1841375102 · Intellectual Disabilities Intermediate Care Facility · Orrum, NC

Provider details

NPI number: 1841375102
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Harold Jones, Senior Vice President(919) 256-0824
License: MHL078049 (NC)

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000XLicense MHL078049 (NC)
Nursing & Custodial Care Facilities

Practice location

467 Creek Road

Orrum, NC 28369-9269

Phone: (910) 618-0777

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

3210 Fairhill Dr

Raleigh, NC 27612-3220

Other names (DBA / former)

Other name: Westside Residential

Registry dates

Enumerated: 2006-10-26
Last updated: 2007-07-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.